Organization
SHULLSBURG AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY A. SPILLANE (SECRETARY/TREASURER)
(563) 589-8850
Entity
Organization
Contact information
Practice address
190 NORTH JUDGEMENT STREET, SHULLSBURG, WI 53586-0277
(608) 965-3719
Mailing address
PO BOX 277, 190 JUDGEMENT STREET, SHULLSBURG, WI 53586-0277
(608) 965-3719
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41340100
—
WI
Enumeration date
04/08/2006
Last updated
07/11/2007
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